Provider Demographics
NPI:1235836107
Name:MCMANUS, JUDY BILLIG (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:BILLIG
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5129 OLIVIA WAY
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-1257
Mailing Address - Country:US
Mailing Address - Phone:434-531-2598
Mailing Address - Fax:
Practice Address - Street 1:5129 OLIVIA WAY
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-1257
Practice Address - Country:US
Practice Address - Phone:434-531-2598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024186384363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily